The document discusses 8 steps to transforming an organization through lean leadership. The steps include establishing a sense of urgency, forming a guiding coalition, creating a vision, communicating the vision, empowering others to act on the vision, planning for and creating short term wins, consolidating improvements and producing more change, and institutionalizing new approaches. It provides details on how to raise urgency levels, build an effective coalition, craft an effective vision, empower people to effect change, and anchor change in an organizational culture.